NPIMap

Organization Active NPI

Pike Health Services, Inc

Doing business as Pike Community Hospital, Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Waverly, OH
National Provider Identifier
1841325347
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
PIKE HEALTH SERVICES, INC
Doing business as
Pike Community Hospital, Swing Bed
Practice address
100 Dawn LN
Waverly, OH 45690-9138
Phone
(740) 947-2186
Fax
(740) 947-6538
NPI assigned
Feb 23, 2007
Last updated
Jul 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa M Carlson
Title
Cfo
Phone
(740) 779-7582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X OH Primary

Addresses

Primary practice location

100 Dawn LN
Waverly, OH 45690-9138

Mailing address

272 Hospital Rd Ste 4
Chillicothe, OH 45601-9031
Phone (740) 779-7582

Other names 1

  • Pike Community Hospital, Swing Bed Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090710000399 OH Part A Provider - Critical Access Hospital 3678472693 Practice locations: Waverly, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841325347. Details of each certification follow.

Hospital certification: CCN 36Z334

Legal name
PIKE HEALTH SERVICES, INC
Doing business as
ADENA PIKE MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Jul 20, 1983 in OH
Enrollment address
100 Dawn LN
Waverly, OH 45690-9138
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

272 Hospital Rd
Ste 4
Chillicothe, OH 45601

1725 27TH St
Portsmouth, OH 45662
Phone (740) 353-5160

100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James McManus Individual Corporate OfficerChief Financial Officer Jun 12, 2022
W-2 Managing EmployeeChief Financial Officer Jun 12, 2022
Anthony Fish Individual Corporate DirectorBoard Member Apr 6, 2009
Robert French Individual Corporate OfficerVice Chair Jan 1, 2025
Sathish V Jetty Individual Corporate Director Jan 1, 2025
William Knoles Individual Corporate Director Jan 1, 2025
Jim Crabtree Individual Corporate Director Jan 1, 2025
Stephen Hirsch Individual Corporate OfficerChair Jan 1, 2025
Ronald W Coffey Individual Corporate Director Jan 1, 2025
Sean Kallner Individual Corporate Director Jan 1, 2025
Jennifer McKell Individual Corporate Director Jan 1, 2025
Kevin Shoemaker Individual Corporate OfficerTreasurer Jan 1, 2025
Sheilah M. Gray Individual Corporate Director Jan 1, 2025
Justin Smith Individual Corporate Director Jan 1, 2025
Andrew David Bauer Individual W-2 Managing EmployeeSenior Operations Executive Officer Aug 17, 2025
Brian Ream Individual Corporate OfficerSecretary Jan 1, 2025
Adena Health System Organization, Chillicothe, OH Corporation Operational/Managerial Control Feb 1, 2012 100%
Jeffrey Craft Individual W-2 Managing EmployeeVice President for System Finance Jan 1, 2025
Carvel Simmons Individual Corporate Director Jan 1, 2025

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1841325347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD STE 4",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031",
            "telephone_number": "740-779-7582",
            "fax_number": "740-779-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DAWN LN",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909138",
            "telephone_number": "740-947-2186",
            "fax_number": "740-947-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "740-779-7582"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pike Community Hospital, Swing Bed",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pike Community Hospital, Swing Bed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waverly, OH

Sources for this page

Verify at the official NPI Registry.